Sam Kidane, in Newark, DE - Medicare Nurse Practitioner

Sam Kidane, is a medicare enrolled "Nurse Practitioner - Family" in Newark, Delaware. His current practice location is 314 E Main St Ste 103, Newark, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 366-0550.

Sam Kidane is licensed to practice in Delaware (license number LG-0011831) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497412399.

Contact Information

	Sam Kidane,
	314 E Main St Ste 103, Newark, DE 19711-7180
	(302) 366-0550
	Not Available

Map and Direction

Provider's Profile

Full Name	Sam Kidane
Gender	Male
Speciality	Nurse Practitioner - Family
Location	314 E Main St Ste 103, Newark, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497412399
Provider Enumeration Date: 11/26/2021
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 1254719289
Enrollment ID: I20220603001667

Medical Identifiers

Medical identifiers for Sam Kidane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497412399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024188207 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	LG-0011831 (Delaware)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sam Kidane allows following entities to bill medicare on his behalf.

Entity Name	Premiere Physicians P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760580336 PECOS PAC ID: 7416845383 Enrollment ID: O20040310001048

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sam Kidane is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sam Kidane, 3830 Green St, Claymont, DE 19703-2054 Ph: (302) 299-5161	Sam Kidane, 314 E Main St Ste 103, Newark, DE 19711-7180 Ph: (302) 366-0550

Reviews and Comments

Nurse Practitioner Nurses in Newark, DE

Amy Wallig Parosky, MSN, RNC, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4755 Ogletown-stanton Rd, Room 2410, Newark, DE 19718 Phone: 302-733-2359 Fax: 302-733-5168
Kathy Elaine Gallagher, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4735 Ogletown-stanton Rd, Map2, Ste 3301, Newark, DE 19713 Phone: 302-623-4370 Fax: 302-623-4375
Adeyoyin R Esaka, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Room E1070 Center For Heart & Vascular Health At Christ, Newark, DE 19718 Phone: 302-623-1929 Fax: 302-733-4533
Muriel P Jurasevich, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-1000
Karen M Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4765 Ogletown Stanton Rd, Suite 1e20, Newark, DE 19713 Phone: 302-733-5700 Fax: 302-733-5775
Mrs. Michelle Denise Septer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-4621 Fax: 302-733-4287
Susan Eileen Petrillo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd, 3d38, Newark, DE 19718 Phone: 302-733-5628 Fax: 302-733-3887

Sam Kidane, - Medicare Nurse Practitioner in Newark, DE